Organization
HEART OF ALASKA HOMECARE ALH
Active
Other names
ANGELO OCAMPO
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO MEDINA OCAMPO (ADMINISTRATOR)
(907) 230-1065
Entity
Organization
Contact information
Practice address
3406 MCKENZIE DR, ANCHORAGE, AK 99517-1653
(907) 929-9382
(907) 337-1190
Mailing address
5950 KODY DR, ANCHORAGE, AK 99504-5307
(907) 230-1065
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
931680
AK
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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